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Public <br /> <br /> April 26, 1988 <br /> <br />Health and Social Services <br /> <br /> The Departments of Public Health and Social Services have not <br />fared as well as the Community Services Board. With both <br />departments, local revenues are recommended adequately to continue <br />existing programs' and ~se~v~ces, but state,funding levels are not <br />adequat!e to ~support a continuation~ of these same proqrams, and <br />services.~, M~re specifically, 'in-the Public Health Department, <br />state funding is not'su~f~icie~t to continue the perinatat and <br />dental programs., Histuricalty, the perinatal program was funded <br />i00% from,State appropriations. This year the-state moved, the <br />program into the Cooperative Budget and will therefore only <br />provide 55% of program costs as compared to 100% in the past. The <br />Health' Department ha~s been operating a-dental clinic in a building <br />which is provid~ed by th~-Beasley Founda~tion.. Funding for the <br />dental cl~'inic opera~ions has been 55%~ State,-and 45% City just like <br />the remainder of~the Health Department's budget,~ ~ecause of <br />inadequate State funding., the dental clinic may be closed. I have <br />included available ,funds ~n a contingency account ~o pay-for the <br />City's share of the cost of the dental clinic. However, I do not <br /> _ ~e c~nt~ued if the City would have to <br />recommend that this program <br />pay for the State's share as we~i. '~herefore, if the State will <br />provide additional funds for its share of the cost, we wi~ll be <br />able to continue,to operate the dental clinic; otherwise, it will <br />have to be closed. <br /> <br /> The Department of Social Services annually receives a Social <br />Services B~ock Grant,appropriation to support the staff, Drograms <br />and services of ~the Department. Over the las~ three years, this <br />StateS'appropriation has remained almost cons,tan~hite <br />administrative an~ program cosUs have cohtinue~ to climb. Because <br />of this scenari~ o~ increasing costs and co~sta~t~revenue~, we are <br />now at~a ~int where State revenues.are no~-adequ~a~e ko cover <br />program costs~ which wi~t result ~in a revenue shor~£,al~~ I have <br />asked the Director of Social Services to moni~ter ~is situation <br />closely during the coming budget year and hold urogram costs <br />within~exp~cted revenues. <br /> <br /> I feel that-the situations-of both the Public Heal%k <br />DepartmeRt and the Department of Social Services warrant <br />legislative~actions by the General Assembly. As ~e approach the <br />next session of the,General Assembly, we should i~nct~de,,these <br />items in our legislative package. ~dditional~y, I expect that the <br />Directors of the Public Health Department and the Department of <br />Secial,Services~ through their~state administrative agencies, will <br />attempt to change the circumstances described~ <br /> <br /> Other expenditures which deserve special mention because of <br />their impact on user fees and their need to increase are: <br /> <br /> Refuse Collection <br /> <br /> I have proposed the collection fee to be raised from the <br />present $5~00 per month to S6.O0 per month, ~which has-not been <br />changed since 1983. This increase will provide approximately <br />$400,000 in additional~revenue,to offset the ~ncreased cost-we <br />have to pay to the Southeastern Public Service Authority (SPSA)o <br />SPSA charges for disposal have increased by approximately this <br />same amount during ~he~'last two years. <br /> <br /> <br />